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Back  RFI # 129: corresponding DRG codes

Formal vs. Informal Help Informal Formal

Submitter

sherry kirkpatrick

Description

Do the DRG codes used need to correspond to the proper diagnosis code and/or procedures code with regards to HIPAA? If so, where can I find the
documentation to support this?

Response

The implementation guide does not specify how the DRG derivation occurs. The guide just specifies that the DRG must be a valid code as defined within the code set.
Submission 11/9/2004
Status Date 12/20/2004
Status F - Final
Primary References
Document 004010X096
Section2300 HI
Page230
Set IDHI